Active NPI
Sindhura Chilakapati, MD
- Family Medicine Physician
- McDonough, GA
National Provider Identifier
1487095022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 77106
- Practice address
- 65 Old Jackson Rd
McDonough, GA 30252-3095 - Phone
- (678) 490-0080
- Fax
- (678) 490-0091
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RS2013-0385 | NM | |
| Family Medicine Physician | 207Q00000X | 77106 | GA | Primary |
Addresses
Primary practice location
65 Old Jackson Rd
McDonough, GA 30252-3095
Mailing address
750 Townpark LN NW
Kennesaw, GA 30144-5579
Phone (404) 365-0966
Other names 1
- Sindy Chilakapati
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 Townpark LN NW
Kennesaw, GA 30144-5579
Phone (770) 514-5405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77106 | GA | MD | Family Medicine Physician |
| RS2013-0385 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Family Medicine | Current | Accepting new patients |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
750 Townpark Ln NW
Kennesaw, GA 30144
Phone (770) 514-5401
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1487095022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 TOWNPARK LN NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301445579",
"telephone_number": "404-365-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 OLD JACKSON RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302523095",
"telephone_number": "678-490-0080",
"fax_number": "678-490-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILAKAPATI",
"first_name": "SINDHURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2013-0385",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "77106",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "https://careepiceast.kp.org:14430/Interconnect-prodgam/",
"city": "Kennesaw",
"state": "GA",
"country_code": "US",
"postal_code": "301445579",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SINDY",
"last_name": "CHILAKAPATI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.